TY - JOUR
T1 - Standardized Reporting in IR
T2 - A Prospective Multi-Institutional Pilot Study
AU - McWilliams, Justin P.
AU - Shah, Rajesh P.
AU - Quirk, Matthew
AU - White, Sarah B.
AU - Dybul, Stephanie L.
AU - Ahrar, Judy
AU - Steele, Joseph R.
AU - Kwan, Sharon W.
AU - Handel, Jeremy
AU - Winokur, Ronald S.
AU - Gilliland, Charles A.
AU - Durack, Jeremy C.
N1 - Publisher Copyright:
© 2016 SIR
PY - 2016/12/1
Y1 - 2016/12/1
N2 - Purpose To assess adoption and survey-based satisfaction rates following deployment of standardized interventional radiology (IR) procedure reports across multiple institutions. Materials and Methods Standardized reporting templates for 5 common interventional procedures (central venous access, inferior vena cava [IVC] filter insertion, IVC filter removal, uterine artery embolization, and vertebral augmentation) were distributed to 20 IR practices in a prospective quality-improvement study. Participating sites edited the reports according to institutional preferences and deployed them for a 1-year pilot study concluding in July 2015. Study compliance was measured by sampling 20 reports of each procedure type at each institution, and surveys of interventionalists and referring physicians were performed. Modifications to the standardized reporting templates at each site were analyzed. Results Ten institutions deployed the standardized reports, with 8 achieving deployment of 3–12 months. The mean report usage rate was 57%. Each site modified the original reports, with 26% mean reduction in length, 18% mean reduction in wordiness, and 60% mean reduction in the number of forced fill-in fields requiring user input. Linear-regression analysis revealed that reduced number of forced fill-in fields correlated significantly with increased usage rate (R2 = 0.444; P = .05). Surveys revealed high satisfaction rates among referring physicians but lower satisfaction rates among interventional radiologists. Conclusions Standardized report adoption rates increased when reports were simplified by reducing the number of forced fill-in fields. Referring physicians preferred the standardized reports, whereas interventional radiologists preferred standard narrative reports.
AB - Purpose To assess adoption and survey-based satisfaction rates following deployment of standardized interventional radiology (IR) procedure reports across multiple institutions. Materials and Methods Standardized reporting templates for 5 common interventional procedures (central venous access, inferior vena cava [IVC] filter insertion, IVC filter removal, uterine artery embolization, and vertebral augmentation) were distributed to 20 IR practices in a prospective quality-improvement study. Participating sites edited the reports according to institutional preferences and deployed them for a 1-year pilot study concluding in July 2015. Study compliance was measured by sampling 20 reports of each procedure type at each institution, and surveys of interventionalists and referring physicians were performed. Modifications to the standardized reporting templates at each site were analyzed. Results Ten institutions deployed the standardized reports, with 8 achieving deployment of 3–12 months. The mean report usage rate was 57%. Each site modified the original reports, with 26% mean reduction in length, 18% mean reduction in wordiness, and 60% mean reduction in the number of forced fill-in fields requiring user input. Linear-regression analysis revealed that reduced number of forced fill-in fields correlated significantly with increased usage rate (R2 = 0.444; P = .05). Surveys revealed high satisfaction rates among referring physicians but lower satisfaction rates among interventional radiologists. Conclusions Standardized report adoption rates increased when reports were simplified by reducing the number of forced fill-in fields. Referring physicians preferred the standardized reports, whereas interventional radiologists preferred standard narrative reports.
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U2 - 10.1016/j.jvir.2016.07.016
DO - 10.1016/j.jvir.2016.07.016
M3 - Article
C2 - 27670943
AN - SCOPUS:84995938590
SN - 1051-0443
VL - 27
SP - 1779
EP - 1785
JO - Journal of Vascular and Interventional Radiology
JF - Journal of Vascular and Interventional Radiology
IS - 12
ER -